Organization Active NPI

Divina Catalasan

  • Long Term Care Pharmacy
  • Santa Ana, CA
National Provider Identifier
1003971425
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHY43441 Issued in CA
Legal business name
DIVINA CATALASAN
Practice address
2413 S Fairview St
Ste E
Santa Ana, CA 92704-5339
Phone
(714) 754-4567
Fax
(714) 754-6691
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Divina Catalasan
Title
Owner
Phone
(714) 231-0986

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X PHY43441 CA Primary

Addresses

Primary practice location

2413 S Fairview St
Ste E
Santa Ana, CA 92704-5339

Mailing address

2413 S Fairview St
Ste E
Santa Ana, CA 92704-5339
Phone (714) 754-4567

Other identifiers 2

IdentifierTypeStateIssuer
PHA412670MedicaidCA
1996035OtherPK

Other names 1

  • QUALITY CARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2413 S Fairview St
Ste E
Santa Ana, CA 92704
Phone (714) 754-4567

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1003971425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 S FAIRVIEW ST",
            "address_2": "STE E",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045339",
            "telephone_number": "714-754-4567",
            "fax_number": "714-754-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 S FAIRVIEW ST",
            "address_2": "STE E",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045339",
            "telephone_number": "714-754-4567",
            "fax_number": "714-754-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINA CATALASAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "CATALASAN",
        "authorized_official_first_name": "DIVINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-231-0986"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY43441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA412670",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1996035",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUALITY CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.